Permit f
CITY OF TIGARD MECHANICAL PERMIT
,=
A � DEVELOPMENT H B MEN Tigard, S O ER 9 2 CES -639 -4171 DATE PERMIT #: ISSUED: 11/2/2006 00536
— 13125 PARCEL: 2S1 14 B D -022 00
SITE ADDRESS: 09690 SW RIVERWOOD LN ZONING: R -4.5
SUBDIVISION: COPPER CREEK STAGE 2 LOT: 037 JURISDICTION: TIG
Project Description: Install gas insert, gas line and flue.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS: 2
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
SCOTT HARGER Description Date Amount
9690 SW RIVERWOOD LN [MECH] Permit Fee 11121200E $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 11121200E $5.80
Phone: 503- 708 -4029 Total $78.30
Contractor:
T & K MECHANICAL
PO BOX 116 REQUIRED ITEMS AND REPORTS
FOREST GROVE, OR 97116
Contact #: PRI 503- 844 -9173
FAX 503- 846 -0195
Reg #: LIC 121165
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -800 -3 4
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Issued y: (T i M4A4 Permittee Signature. '
—
Call 503 - 639 -4175 by 7:00 a.m. for inspections -that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
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CITY OFTIGARD
• • At
BUILDING DIVISION PERMIT #: MEC200600536
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11121200E
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'I I..
INSPECTION WORKSHEET FOR DATE: 11/7/2006 TIME: 7:03AM PAGE: 16
SITE ADDRESS: 09690 SW RI VERWOOD LN CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 037 TYPE OF USE:
PROJECT NAME: HARGER 1
DESCRIPTION: Install gas insert, gas line and flue.
OWNER: HARGER, SCOTT PHONE #: 503 - 708.4029
CONTRACTOR: T & K MECHANICAL PHONE #: 503.8449173
Inspection Request Scheduled For: Date: 11/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039391 -02 503- 844 -9173 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // – "7—G c.. Phone #: (503) 718- 2s{�.�45—
CITY OF TIGARD ...,, -"
BUILDING DIVISION PERMIT #: MEC2006 -00536
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1102006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 . `'I � ..
INSPECTION WORKSHEET FOR DATE: 1117 /2006 TIME: 7 :03AM PAGE: 17
SITE ADDRESS: 09690 SW RIVERWOOD LN CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 037 TYPE OF USE:
PROJECT NAME: HARGER
DESCRIPTION: Install gas insert, gas line and flue.
OWNER: HARGER, SCOTT PHONE #: 503 - 708.4029
CONTRACTOR: T & K MECHANICAL PHONE #: 503- 844 -9173
Inspection Request Scheduled For: Date: 11/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 039391 -01 503 -844 -9173 N
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //— 7-04. Phone #: (503) 718- - 2 -1"$75---